<div data-dojo-attach-point="containerNode">

  <div data-dojo-type="esri/dijit/metadata/form/iso/CodeListReference"
    data-dojo-props="target:'gmd:hierarchyLevel',
      label:'${i18nIso.MD_Metadata.hierarchyLevel}',minOccurs:1,maxOccurs:'unbounded'">
    <div data-dojo-type="esri/dijit/metadata/types/iso/gmd/maintenance/MD_ScopeCode"></div>
  </div>
  
  <div data-dojo-type="esri/dijit/metadata/form/Element"
    data-dojo-props="target:'gmd:hierarchyLevelName',minOccurs:0,maxOccurs:'unbounded',
      label:'${i18nIso.MD_Metadata.hierarchyLevelName}'">
    <div data-dojo-type="esri/dijit/metadata/form/iso/GcoElement"
      data-dojo-props="target:'gco:CharacterString'"></div>
  </div>
    
</div>